Cristiane Campos Ennis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N8066 Issued in TX

Practice address

7629 Hillside Rd Ste 200
Amarillo, TX 79119-8385

Phone

(806) 641-8000

Fax

(806) 803-9429

NPI assigned

Sep 26, 2007

Last updated

May 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11842/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Tan Women's Health Clinic, PA

  dba Premier Women's Health Center

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1215303730
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1861689572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 HILLSIDE RD STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791198385",
            "telephone_number": "806-641-8400",
            "fax_number": "806-803-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 HILLSIDE RD STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791198385",
            "telephone_number": "806-641-8000",
            "fax_number": "806-803-9429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 MEDI PARK DR 103",
            "address_purpose": "LOCATION",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062106",
            "country_code": "US",
            "telephone_number": "806-318-3869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "CRISTIANE",
        "middle_name": "CAMPOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N8066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Emerson, NP
• Empowerme Rehabilitation, LLC
• Richard Steven Enchelmeyer, PHARMD
• Encompass Health Rehabilitation Hospital of Amarillo, LLC (Rehabilitation Hospital of Amarillo)
• Timothy John Enevoldsen, M.ED., LPC, LMFT
• Enos Dermatopathology PLLC
• Tyler Enos, MD
• Epic Health Services, Inc. (Aveanna Healthcare)
• Epic Health Services, Inc. (Aveanna Healthcare)
• Epic Healthcare Services

• Family Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.